Health Department

Care Coordination Services Offered

What is CC4C
Care Coordination for Children (CC4C) is an at-risk population management program that serves children from birth to 5 years of age who meet certain risk criteria. The main goals of the program are to improve health outcomes and reduce costs for enrolled children.

Program Services

Services provided by CC4C care managers are tailored to patient needs and risk stratification guidelines. A comprehensive health assessment, including the Life Skills Progression, assists the care manager in identifying a child’s needs, plan of care and frequency of contacts required. Contacts occur in medical homes, hospitals, in the community and in children’s homes.

Referral criteria

  • Children with Special Health Care Needs (chronic physical, developmental, behavioral or emotional conditions) who require health and related services of a type and amount beyond that required by children generally.
  • Children exposed to severe stress in early childhood, including:-- Extreme poverty in conjunction with continuous family chaos
    Recurrent physical or emotional abuse
    Chronic neglect
    Severe and enduring maternal depression
    Persistent parental substance abuse
    Repeated exposure to violence in the community or within the family
  • Children in foster care who need to be linked to a Medical Home
  • Children in neonatal intensive care needing help transitioning to community/Medical Home care.
  • Children with “potentially preventable” hospital costs identified under methodology developed by Treo Solutions, Inc.
Healthy Start Baby Love Plus

The Baby Love Plus program promotes strong and healthy communities designed to give babies the best possible start by improving families access to essential health and social services. The program is staffed by two Community Health Advocates who actively reach into the community to recruit pregnant women into early prenatal care and promote the importance and availability of health and social services to women of childbearing age and their families. An Enhanced Care Coordinator (Social Worker) provides counseling and support services to women identified as high-risk during the interconceptional period which is 60 days postpartum through two years.
The goals of this program are to empower the clients to effectively manage their health and psychosocial needs; better navigate the health and social service system; and increase use of contraception. Transportation is available to families for emergency medical appointments, department of social services visits and appointments to receive counseling for women experiencing postpartum depression.

For more information call 252-641-7511

For public comments or questions, please call 252-641-7531

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